Active NPI
Home Care Advantage, Inc.
- Home Health Agency
- Salem, OH
National Provider Identifier
1336158757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 2138001
- Legal business name
- HOME CARE ADVANTAGE, INC.
- Practice address
- 718 E 3Rd St
Suite C
Salem, OH 44460-2915 - Phone
- (330) 337-4663
- Fax
- (330) 337-0481
- NPI assigned
- Aug 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Carolyn D Crookston
- Title
- Service Coordinator
- Phone
- (330) 337-4663
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 2138001 | OH | Primary |
Addresses
Primary practice location
718 E 3Rd St
Suite C
Salem, OH 44460-2915
Mailing address
718 E 3Rd St
Suite C
Salem, OH 44460-2915
Phone (330) 337-4663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2138001 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
718 E 3rd St
Ste C
Salem, OH 44460
Phone (330) 337-4663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1336158757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 E 3RD ST",
"address_2": "SUITE C",
"city": "SALEM",
"state": "OH",
"postal_code": "444602915",
"telephone_number": "330-337-4663",
"fax_number": "330-337-0481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 E 3RD ST",
"address_2": "SUITE C",
"city": "SALEM",
"state": "OH",
"postal_code": "444602915",
"telephone_number": "330-337-4663",
"fax_number": "330-337-0481"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME CARE ADVANTAGE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CROOKSTON",
"authorized_official_first_name": "CAROLYN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "SERVICE COORDINATOR",
"authorized_official_telephone_number": "330-337-4663",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "2138001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2138001",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.